What male diseases require the help of an andrologist?

An andrologist is a doctor who examines and treats only male patients. The name of this medical specialty comes from the Greek word “andros”, meaning “man”. The andrologist is in charge of the health of the male genitourinary system, as well as sexual and reproductive functions.

Pediatric andrologists see minor patients. From the age of 18 you should make an appointment with an andrologist for adults.

What does an andrologist do?

The scope of activity of a male andrologist is very wide.

The list of problems that an andrologist treats in men includes any aspect of male health - from impotence to contraceptive methods.

He also prescribes therapy, decides on operations, advises on issues of male menopause and infertility, refers for medical examination, and issues sick leave.

Where is the best place to go when you need a male andrologist?

To get a consultation with an andrologist, you must contact one of the following medical institutions:

• diagnostic center;
• multidisciplinary clinic;
• specialized clinic for male urology and andrology;
• inpatient hospital.

Diagnostic center or multidisciplinary clinic - for prevention

These options are ideal for those who need a consultation with an andrologist for prevention. When nothing bothers you, but you want to check if everything is okay. In such cases, it is quite enough to pass basic tests and undergo an ultrasound. Even if all indicators are normal, it is advisable to undergo such diagnostics approximately once a year.

Specialized clinic for male urology and andrology - for outpatient treatment

This option is for those who have symptoms (pain, discharge, problems with potency and/or ejaculation, frequent urination, infertility). Such clinics have everything necessary to carry out full diagnostics and comprehensive treatment:

• In case of acute pain, emergency assistance can be provided here.
• For chronic conditions, a course of therapy will be offered using the most modern hardware treatment methods.

Inpatient hospital - for hospitalization

You just can't get here. They are either sent by doctors from polyclinics and specialized clinics, or brought by ambulance paramedics.

Inpatient treatment is indicated for those who need:

• under 24-hour medical supervision,
• or in surgery.

Groups of diseases in outpatient andrology

• Inflammation of the internal and/or external genital organs (prostatitis, epididymitis, orchitis, vesiculitis, urethritis, cystitis, etc.).
• Infectious diseases, including sexually transmitted infections.
• Diseases caused by hormonal disorders - a lack or excess of male hormones.
• Benign tumors (prostate adenoma).
• Infertility.
• Decreased libido, weakened potency.

Symptoms that require consultation with an andrologist

You should definitely make an appointment with a male andrologist if you are concerned about the following problems and symptoms :

Pathological (requiring treatment) discharges are: - mucous, watery or purulent; - odorless or odorless; - transparent, white, yellow, etc.; - with streaks of blood or bloody clots;

- can come out only after urination or independently of it.

Acute pain in the male genital organs

They occur in the groin, penis, testicles, lower abdomen, prostate area during urination, during or after sexual intercourse, during any physical activity - be it normal walking, bending, lifting heavy objects or intense sports. The pain may flare up suddenly while you're at rest or wake you up while you sleep. Such pain usually goes away within a few minutes after its onset. They are more characteristic of the acute phase of diseases - inflammatory or infectious.

Aching pain in the groin area in men (inside and/or outside)

Experts usually call such conditions “chronic pain syndrome.” As the term implies, they usually indicate the presence of chronic problems. Pain can have varying degrees of severity - from barely noticeable to unbearable.

They occur frequently, for no apparent reason, and can become almost permanent. If you are used to drowning them out with painkillers, then sooner or later they may stop helping, as the disease itself continues to progress.

Pain usually occurs during urination, during erection or ejaculation, or after it. May be accompanied by frequent urination, bloody or mucous discharge.

The most common cause is hormonal changes, in particular a decrease in the level of the male hormone testosterone or an increase in the level of female hormones.

Change in urination pattern

Various variations are possible, for example: - weakening of urine pressure; - the need to push to start urinating; - thin stream of urine; - splitting of the stream (it can cause urine to splash in different directions); - slow rate of urination; - intermittent urination;

- urine output in separate drops.

Frequent urination

As practice shows, many men consider this to be normal. Some perceive this as age-related changes, others explain it by drinking a lot of fluid. Still others convince themselves that it is a cold that will soon go away on its own.

In fact, frequent trips to the toilet can be considered the norm only if the problem disappears on its own within 24 hours. If it hasn’t passed within a day, this is a serious reason to undergo a urological examination as quickly as possible.

This is how stage 2 prostate adenoma can manifest itself - it can be cured without surgery (at stage 3, surgical intervention is usually required).

There are only 5 main reasons identified by urologists: 1. Hormonal imbalance - a decrease in the level of male hormones, an increase in the amount of female hormones. 2.

Infections are sexually transmitted diseases, or infections that are “dormant” in the body, awakening under certain conditions. 3. Inflammation - prostatitis, epididymitis, urethritis, vesiculitis, cystitis and others. 4.

Vascular problems - partial or complete blockage of the vessels of the penis due to the formation of atherosclerotic plaques.

5. Neurological problems - various diseases of the spine (especially the lumbar and lumbosacral regions) and the nervous system.

Regardless of the presence or absence of complaints, every man should be regularly examined by an andrologist, especially after the age of 40.

When planning a natural pregnancy, a preliminary consultation with a specialist is also advisable.

Do you need any preparation for your appointment?

No serious manipulations are required before visiting the andrologist’s office. Take a shower, put on clean underwear. If a rectal examination is prescribed, then you need to come to the andrologist with an empty bowel. And if you plan to get tested, then two days before your doctor’s appointment you need to give up alcoholic beverages.

At the andrologist's appointment

An appointment with a male andrologist takes place in several stages.

The first stage is communication. The doctor will listen to all complaints and ask the necessary questions.

The second stage is an examination of the genital organs and prostate gland. The latter is examined through the rectum using palpation.

The third stage is diagnosis. The doctor gives a referral for tests and a referral to undergo the necessary tests and examinations.

The fourth stage is the appointment of therapy. After receiving the tests, the doctor develops a treatment regimen and recommends it to the patient.

The fifth stage is preventive work. After treatment, the doctor will tell you in detail about methods of preventing this disease in order to avoid relapses.

Diagnosis by an andrologist

A modern andrologist has a large number of diagnostic methods in his arsenal: from laboratory to instrumental. This:

• blood and urine tests;
• analysis of a smear from the urethra (detects inflammation and its causative agent);
• spermogram (determines the ability of sperm to fertilize, identifies urological diseases, hormonal disorders, infections);
• ultrasound examination of the pelvic organs;
• Dopplerography of the vessels of the genitourinary system;
• biochemical screening;
• blood test to determine prostate specific antigen;
• hormone tests;
• endoscopy;
• uroflowmetry (method for determining the rate of urination);
• rheofallography (used for erectile dysfunction, measures the resistance of the blood vessels of the penis).

In some cases, computed or magnetic resonance imaging, x-ray examination, and vasography are performed.

After the research, therapy is prescribed and the necessary treatment methods are selected.

Treatment methods

When developing a course of treatment, the doctor relies on two factors: Complexity and Individual approach. The selection of methods is directly related to the specifics of the identified disease. Treatment can be either conservative or surgical.

Treatment without surgery

1. Drug therapy
   • antifungal drugs (prescribed if the source of the problem is a fungus);
   • anti-inflammatory drugs;
   • painkillers;
   • hormone replacement therapy.
2. Physiotherapy:
   • shock wave therapy (SWT);
   • magnetic therapy;
   • laser therapy;
   • hardware vacuum massage of the genital organs;
   • prostate massage;
   • ozone therapy and many others.

Additionally the following may be recommended:

• correction of nutrition and lifestyle;
• physiotherapy;
• psychotherapy.

Surgical methods

Various operations are indicated only when conservative therapy is obviously ineffective, for example, for problems such as:

• congenital pathologies in the structure of the genital organs,
• malignant tumors,
• genital injuries,
• the presence of phimosis, recurrent balanitis, varicocele,
• acute urinary retention.

In all other cases, it is recommended to start with non-surgical methods. And only if they are completely ineffective, make a decision about surgery.

Specializations of urologists-andrologists

The profession of andrologist also involves a number of even narrower specializations:

1. Pediatric andrologist - corrects congenital pathologies, supervises the problems of sex education
2. Andrologist-endocrinologist. His field of activity includes pathologies associated with disruption of the glands
3. Andrologist-oncologist - diagnoses and treats tumors of the male genitourinary system.
4. Andrologist-reproductologist. Fights infertility.
5. Andrologist-surgeon. Performs surgeries to restore lost sexual function, eliminates cosmetic defects, and performs genital plastic surgery and castration.
6. Andrologist-sexologist. Deals with potency disorders caused by the patient’s mental characteristics.

Andrologists' recommendations for men's health

1. Move and exercise. This will allow your body to remain young as long as possible and will also prevent congestion in the prostate gland.
2. Eat right, give up bad habits.
3. Avoid hypothermia and overheating, strong vibrations and squeezing. All these phenomena contribute to the development of diseases.
4. Once a year, undergo an examination by an andrologist, urologist, and venereologist.
5. Do not self-medicate. For any symptoms related to the functioning of the kidneys, penis, urethra, testicles and their appendages, ureters, urethra, immediately contact a specialist (a public clinic or a paid andrologist). This visit will help stop the development of the disease and prevent the disease from entering the chronic stage.

How to choose a male andrologist

Of course, it is impossible to determine unambiguously which andrologist is the best. However, it is worth considering that the professionalism of any specialist in the field of medicine is determined primarily by the depth of knowledge and breadth of practical experience.

Therefore, the ideal option in this case is to consult a doctor who specializes in working only with men . After all, he faces the most complex diseases of the male reproductive system every day.

Urologists who see both men and women may, in some cases, not have adequate experience in the field of andrology. Be sure to check whether the doctor you choose is a specialist in the treatment of male genitourinary diseases.

Paid or free?

You can find a good andrologist both in government institutions and in paid clinics.

However, paid medicine provides many more opportunities for providing high-quality medical services. An andrologist at a paid center can pay attention to every detail and conduct a thorough diagnosis.

In addition, in private clinics, unlike municipal ones, andrologist services are provided without queues, which will save not only your time, but also your nerves.

The next point is analyzes and research. Many paid clinics have the most modern equipment - both for diagnosis and treatment.

"Alan Clinic" is a network of specialized centers for male Urology and Andrology

Our medical centers see male urologists-andrologists with extensive experience.

The clinic operates as a day hospital, where each patient receives everything necessary for recovery:

• emergency assistance for acute pain - on the day of the first visit;
• a set of procedures using modern equipment from well-known manufacturers;
• all necessary medications - droppers, injections, tablets, ointments, suppositories, etc.;
• the opportunity to constantly communicate with your attending physician andrologist - all examinations and consultations with your doctor are carried out free of charge, no matter how many of them are required;
• free control ultrasounds during and after treatment;
• free consultations with an andrologist after completion of treatment;
• clinics are open from 07:30 to 20:00, 7 days a week (including all official holidays);
• all procedures are carried out by appointment, so the need to wait in line is completely eliminated;
• payment in installments is possible (no interest or fees);
• Nonresident patients are provided with special treatment and payment conditions.

Call around the clock. We'll be happy to help!

Source: https://alanclinic.ru/urologiya/androlog/

Andrologist, what diseases can be treated

Andrologist (from Greek Andros - “man”) is a doctor who treats genitourinary and sexual pathologies of men. Andrology is intended for a thorough study of the anatomy and physiology of the male body for the purpose of correct diagnosis and treatment of diseases.

Diseases treated by Andrologist

1. Early ejaculation is the most common problem that people complain about to an andrologist. Its causes are urological diseases, weakened erection, high sensitivity of the glans penis and a number of others.

2. Impotence is a condition in which the penis does not become sexually aroused or does not maintain it during coitus.

Causes of impotence:

• psychological problems;
• bad habits;
• obesity, exhaustion;
• diabetes;
• physical stress;
• diseases of the genital organs.

3. Prostate adenoma, prostatitis . A benign formation that compresses the urethra and makes urination difficult.

4. Infertility . 50% of infertile couples in the world are unable to conceive a child because the man has problems in the reproductive system. However, most often in case of infertility, couples pay attention to the woman’s condition.

Male infertility has the following causes:

• low sperm motility;
• sexually transmitted diseases;
• cryptorchidism;
• varicocele;
• blockage of the excretory ducts of the seminal vesicles;
• a number of past diseases (hepatitis, rubella and others).

5. Frequent and involuntary urination . Often its cause is an inflammatory process of the urethra.

6. Often a man is bothered by painful sensations in the perineum , and sometimes there are no symptoms of inflammation of the prostate gland. Typically, prostatitis-like symptoms indicate the presence of cystitis.

7. Climax . In men after 45, the hormone testosterone begins to be produced in much smaller volumes, although the decline begins after 30. Due to changes in hormonal balance, there is a risk of deterioration of erection and decreased libido (sweet desire).

The occurrence of this problem is influenced not only by age-related changes, but also by other factors:

• bad ecology;
• prolonged stress;
• unhealthy lifestyle (lack of physical activity, bad habits - overeating, drinking alcohol, smoking).

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The following methods are used to treat erectile dysfunction:

1. Sex therapy, psychotherapy. A psychotherapist is also involved in the treatment.
2. Use of medicinal substances. Thanks to them, the blood flow in the vessels of the penis becomes more intense, and the erection improves.
3. Use of vacuum erectors.

   Its advantages are safety and lack of discomfort during the procedure. The disadvantages include inconvenience in use and a slight improvement in erection.

4. Injections into the corpus cavernosum of drugs.

5. Surgical intervention on the penis - penile prosthesis (the most radical method), vascular surgery. The most effective are operations on veins that limit venous outflow.

   Surgical methods are used when the above methods do not bring results.

  Obstetrician: what kind of doctor, how to choose, basic competencies

8. Phimosis . The doctor treats inflammation of the penis, performs circumcision, and gets rid of external defects of the genital organs. Phimosis is a narrowing of the foreskin, which prevents exposure of the head of the penis. It usually occurs in teenage children as they go through puberty.

9. Balanoposthitis . This common condition is an inflammation of the skin of the glans penis or foreskin, which can lead to purulent discharge. The cause of the disease is intimate intimacy with a sick partner or infection in the body.

Balanoposthitis is dangerous because it can lead to serious consequences, so at the first symptoms of the disease you should immediately contact an andrologist.

10. Metabolic syndrome is a disorder in the body caused by a slowdown in metabolism and hormone production.

The disease has the following symptoms:

• arterial hypertension;
• increased cholesterol levels in the blood;
• overweight;
• sugar level disturbance.

11. Curvature of the penis during erection , which does not allow sexual intercourse.

In this video, the andrologist-endocrinologist answers the three most common questions about men's health

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When is specialist advice needed?

There are a number of symptoms and signs that require urgent consultation with an andrologist:

• discomfort in the perineum and lower abdomen;
• urinary incontinence, frequent urination and a feeling of itching, burning during it;
• discomfort during intimacy;
• the occurrence of formations in the groin area;
• discharge from the urethra, which has a repulsive odor, as well as urine with pus and bloody discharge;
• problems with ejaculation, erection, potency;
• significant decrease in sexual activity;
• male infertility.

In addition, the help of an andrologist is needed to perform a number of operations:

1. transgender transition;
2. prosthetics;
3. increasing the size or length of the penis, circumcision.

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Consultation with a pediatric Andrologist

Problems of the genitourinary system are usually typical for adult men, but sometimes they are also observed in children. The specialist diagnoses and treats the urethra, testicles and their appendages, as well as the external genitalia in adolescents.

1. A consultation with a pediatric andrologist is required if the child is diagnosed with diseases such as spermatocele, cryptorchidism, epispadias, varicocele, or hidden penis.
2. Parents should carefully monitor the condition of young children in order to promptly detect the presence of certain disorders (enuresis in children whose age is 4 years or more, hardening of the scrotum, inherited pathologies, differing testicle sizes). Teenagers may suffer from discomfort in the groin when sitting or moving, pressure in the scrotum, and pain during urination.
3. The examination is necessary for adolescents from 13 years of age when they become obese. It may be caused by hormonal dysfunction. It is also necessary to take them to a specialist if pronounced sexual characteristics are not observed.

  Therapist: when to treat which diseases

Immediate consultation with a doctor is necessary in the following cases:

• purulent discharge;
• an increase in the size of the head of the penis, a change in its color;
• the appearance of lumps and neoplasms on the genitals;
• increase in body temperature;
• increase in the size of lymph nodes.

These symptoms may indicate the onset of serious illness.

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How does an andrologist make a diagnosis?

First, the specialist’s task is to examine the patient and ask him about existing problems and complaints. A man first needs to wash his genitals and change his underwear. The andrologist examines the external genitalia and inguinal lymph nodes.

A specific situation may require additional examination methods - such as ultrasound of the pelvic organs, examination of semen, urine or blood, or diagnostic potency test. Sometimes consultation with specialized doctors may be required.

In some cases, it is worth coming to the appointment with your partner. Sometimes this allows you to quickly identify the problem and also find out whether it really is just you.

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Andrologist and urologist: who treats what?

If a urologist treats diseases that arise in the genitourinary organs, then an andrologist is the same urologist whose responsibilities are the diagnosis and treatment of diseases that arise in the genitourinary system (sexual disorders, prostatitis, urethritis and others). At the same time, an andrologist deals with therapy and counseling of men, while a urologist diagnoses and treats diseases of the genitourinary tract and women as well.

Another difference: the andrologist’s task is to restore a man’s self-confidence. A urologist strives to treat diseases of the genitourinary system.

Thus, andrology is one of the areas of medical specialization - urology. An andrologist has knowledge related to sexology, endocrinology and other areas.

Source: https://vrachibolezni.ru/vrachi/androlog/

Treatment by an andrologist

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An andrologist is a doctor who treats male diseases.

He deals with any pathology that leads to disruption of the functional state of the reproductive system.

1. What diseases does an andrologist treat?
2. Andrologist treatment includes restoration of the functional state of the male reproductive system.
3. As well as eliminating the impact of the causes that caused the pathology.
4. The most common groups of diseases treated by this specialist are:

1. I. Nonspecific infection that develops in the organs of the urogenital tract and leads to their inflammation - pathology of the prostate gland (prostatitis), testicles and their appendages, caused by bacteria Staphylococcus, Klebsiella, Escherichia coli, Proteus or streptococci.
2. II. Complicated course of infectious diseases caused by specific pathogens with sexual transmission - the development of chlamydia, ureaplasmosis, mycoplasmosis, trichomoniasis, gonorrhea leads to the spread of pathogenic (disease-causing) microorganisms into the internal genital organs with disruption of their functional state.
3. III. Oncological pathology of the genitourinary system, characterized by the formation of a benign or malignant neoplasm - this pathology is treated by an andrologist together with an oncologist.
4. IV. Infertility is the inability to conceive a child after regular sexual intercourse with a fertile woman for 12 months.

of the medical service, a doctor,
talks about treatment with an andrologist

Lenkin Sergey Gennadievich

The content of this article has been checked and confirmed for compliance with medical
standards by a dermatovenerologist, urologist, candidate of medical sciences.

Lenkin Sergei Gennadievich

• The anonymous patient is grateful to Dr. Lenkin for his qualified assistance in diagnosing and treating vein diseases. Previously, I applied to other clinics, but the result was unsatisfactory, and only this clinic was able to provide qualified assistance.
• I thank my savior, an excellent doctor, and just a good person, Dr. Lenkin, for his very respectful and attentive attitude towards his patients, patience and explanation of the entire treatment process. Of course, getting sick is always unpleasant and bad, but in the hands of this wonderful specialist you feel confident and do not worry about the results of the treatment. Pchelkina Maria Sergeevna

Source: https://kvd-moskva.ru/lechenie-u-androloga/

An andrologist is not a urologist! What and how does a male doctor treat

An andrologist specializes in the treatment of diseases of the reproductive system, which is responsible for the reproduction of offspring in men. An andrologist is an exclusively male doctor.

What is the difference between an andrologist and a urologist?

Since andrology is a branch of urology, these medical areas are similar. The male urinary and reproductive systems are inseparable, and some organs perform both functions. Therefore, many diseases in men are treated by both specialists.

Differences between urology and andrology:

• Urology is a broader field. The urologist also treats women. Andrology deals only with men.
• The competence of a urologist includes kidney diseases that are not treated by andrologists. Renal pathologies do not affect reproduction and sexual function.
• There are urologists-andrologists who do the same thing as both specialists. Therefore, if, during the treatment of urological pathologies, the patient is diagnosed with andrological diseases, there will be no need to contact another doctor.

What complaints and problems are addressed to an andrologist for examination?

Patients most often contact:

• With erectile dysfunction in any form: weak, short-term, unstable, painful. Sometimes this condition occurs spontaneously, but it is impossible to achieve it through contact with a partner. There is a constant erection - an unpleasant phenomenon that even Casanova would not like.
• With difficulties with ejaculation . Andrologists treat weakened or premature ejaculation, retrograde ejaculation, in which sperm is ejected not into the urethra, but into the bladder.
• Regarding the deterioration of libido , which can occur due to age-related reasons, neuroses, hormonal imbalance and taking certain medications.
• With male menopause - an age-related condition manifested by a decrease in desire, deterioration of erection and hormonal imbalances.
• With pain in the rectum and sensation of a foreign body in the anus. These complaints accompany diseases of the prostate and the seminal tubercle located behind the prostate gland.
• Due to male infertility . The reproductive system is a complex mechanism, so sperm travel a long way from birth to the opportunity to fertilize an egg. At any of these stages, failures occur, leading to the absence of offspring. The doctor’s task is to find and eliminate the cause of infertility.
• With suspicion of benign and malignant tumors of the reproductive organs, congenital anomalies and injuries of the intimate area.
• For inflammatory processes of the genital area , including those caused by infections.
• Due to feminization , caused by a change in the external appearance of the patient, who becomes like a woman. In representatives of the stronger sex, the mammary glands become enlarged, fat appears on the thighs, and even the timbre of the voice changes. Such symptoms indicate severe hormonal imbalances.
• Before IVF to determine the usefulness of seminal fluid. In this case, you can contact an even more specialized andrologist-reproductologist at one of the centers involved in family planning.

How to prepare for your appointment

No special preparation is needed for the appointment. You just need to carry out the simplest hygienic procedures and do a cleansing enema, freeing the rectum for a digital examination of the prostate.

Where can I find a good andrologist?

There are few doctors working in this specialty. Therefore, it will not be possible to make an appointment with an andrologist at a regular clinic - such a doctor can be found in private clinics in St. Petersburg.

You need to look for good andrologists in large medical centers, since they select medical personnel who have been working in St. Petersburg for a long time, who have high qualifications and long experience. Information about medical personnel can be found on the medical institution’s website. The online resource provides all the necessary information to help you choose the right specialist.

In a paid medical center, you can not only make an appointment with an andrologist, but also undergo all tests using modern equipment. There are no queues, and appointments are made by phone or online at the most convenient time. As a result, the procedures take a minimum of time, which allows you to start treatment earlier.

And the last advantage of visiting an andrologist in a private clinic in St. Petersburg is psychological comfort. Issues related to reproductive function for men are very sensitive, and therefore require a certain psychological approach.

A doctor at a paid appointment can devote enough time to the patient so that he can overcome embarrassment and talk about his problems.

Diagnosis of male diseases by an andrologist

The examination begins with identifying the patient's complaints. In this case, the doctor may ask questions regarding bad habits, heredity, and the nuances of intimate life. You need to answer honestly, since distortion of information will lead to an incorrect diagnosis.

What the andrologist looks for during the consultation:

• The patient's physique , which should not be effeminate. Feminization indicates hormonal dysfunction, inevitably leading to intimate and reproductive problems. Gynecomastia - enlargement of the mammary glands, detected during an examination by an andrologist, is also caused by a hormonal imbalance.
• Development of the genitals . Underdevelopment often indicates genetic pathologies. During palpation, no compactions, nodes, or soft formations filled with liquid should be detected inside the tissues.
• Symmetry of the scrotum . An increase in one of its two parts indicates inflammatory processes, torsion of the testicle and spermatic cord. The scrotum enlarges with inguinal hernias, accompanied by prolapse of intestinal loops into it. Enlargement of the scrotum is also characteristic of cysts and tumors.
• Dilated scrotal veins indicate varicocele - varicose veins of the pampiniform plexus. Without treatment, this pathology leads to groin pain and infertility.
• Features of the structure of the penis . Upon examination, phimosis may be detected - narrow foreskin, shortening and scarring of the frenulum, curvature of the penis.
• Condition of the skin and mucous membranes of the intimate area . With various infections, areas of inflammation, ulcers, warty growths, and a cheesy coating, which are colonies of fungus, are found on its surface.

During the consultation, the condition of the prostate gland is assessed using a digital examination. During inflammatory processes, the organ is enlarged and painful. The procedure is not performed for acute proctitis (inflammation of the intestinal mucosa), anal fissure.

Based on the results of the appointment, the urologist andrologist prescribes diagnostic procedures, the results of which will require a second consultation.

Hardware, instrumental and laboratory diagnostics prescribed by andrologists

• Ultrasound of the scrotum and penis allows you to evaluate their structure and detect diseases. When identifying pathological formations, an ultrasound examination will allow you to select the optimal method of performing the operation.
• Ultrasound examination of the prostate gland , performed through the skin of the abdomen and TRUS, performed rectally. Problems with the prostate can lead to infertility caused by changes in the composition of seminal fluid, and the enlarged, inflamed organ often compresses the urethra, disrupting the outflow of urine. That is why the prostate gland is examined so carefully.
• Since the inflammatory process of the reproductive sphere is often caused by STDs, a urologist-andrologist refers the patient to be examined for sexually transmitted infections. There are effective methods for identifying pathogens:
• PCR analysis , which makes it possible to detect infection even by small fragments of the genetic material of microorganisms. This method can identify diseases that occur latently and do not produce symptoms.
• Androflor is a modern diagnostic method that identifies a variety of pathogenic microbes that affect the genital area. Its undoubted advantage is the rapid acquisition of data on microorganisms that cause inflammatory processes. There are two options for this diagnosis - Androflor screen, used for acute pathologies, and classic Androflor, prescribed for chronic inflammatory processes
• Hormone tests - male and female. Sometimes disorders are caused by insufficient secretion of “one’s own” hormones and an excess of foreign ones. Since the entire endocrine (hormonal) system of our body is interconnected, patients are additionally examined for indicators of the thyroid gland and pituitary gland.
• Spermogram is a test of seminal fluid prescribed for infertility. With various pathologies, the physical parameters of sperm and the content of living, motile sperm capable of fertilizing an egg change.
• Tests for antisperm antibodies , which are produced when the immune system does not function properly and lead to the death of sperm.
• Analysis for tumor markers . If cancer pathology is suspected, tumor marker tests are prescribed. PSA and ferritin, the concentration of which increases in prostate diseases. AFP and hCG, the content of which increases in testicular tumors.

Patients are prescribed a general and biochemical blood test, as well as a urine test, showing the condition of the genitourinary system and identifying the spread of infection to the kidneys.

Treatment

According to the diagnostic data, the urologist-andrologist prescribes treatment for diseases, which can be:

• Conservative patients are prescribed antibiotics, anti-inflammatory, decongestants, and hormonal drugs.
• Surgical - performing operations. Many interventions, for example, removal of condylomas and papillomas on the genitals, are carried out using a laser. This guarantees rapid tissue recovery and no complications.

Modern capabilities of andrology make it possible to cure most diseases in this area. To do this, you need to choose a good andrologist, sign up for a clinic, be examined and treated. It is undesirable to interrupt the treatment process, since re-treating diseases is much more difficult.

Source: https://unclinic.ru/androlog-ne-urolog-chto-i-kak-lechit-muzhskoj-vrach/

10 questions to an andrologist about men's health

Surely every man knows that a gynecologist is a female doctor, but not every representative of the stronger sex knows which specialist deals exclusively with men’s health.

This is scary and sad, so today we will talk about the treatment, diagnosis and prevention of exclusively male diseases.

In our studio there is a urologist-andrologist, head of the City Men's Health Center - Yuri Viktorovich Belchikov.

Question one

Who is an andrologist?

An andrologist is the same as a urologist, but with a narrower specialization. He deals with disorders and diseases of the male reproductive system.

Question two

Top 5 most common male diseases?

Inflammatory diseases of the genitourinary organs (prostatitis, urethritis), sexually transmitted infections, prostate adenoma, erectile dysfunction, ovarian cysts, phimosis, varicocele, screening for oncopathologies of the prostate and bladder.

Question three

What non-obvious symptoms should make a man seek help from a urologist?

Sharp pain, urinary disorders, blood in the urine. Unobvious symptoms include slight difficulty urinating (especially at night), unexpressed pain in the perineum and genitals, aching pain in the lower back, decreased libido, fatigue and weight gain in a short period.

Question four

Is it true that a man’s genitourinary system does not like prolonged strain (in terms of emptying the bladder)?

Sometimes you can actually tolerate the urge to urinate and put it off for 2-3 hours, but if such situations happen frequently, they can lead to serious health problems, such as genitourinary infections. If urine sits in the bladder for too long, bacteria present in it can attach to the lining of the bladder. Also against this background, atony of the bladder and other pathologies may occur.

Question five

There is such an everyday concept as “spermatotoxicosis”. How does this problem sound in professional language and is it a problem?

Officially, such a concept does not exist in medicine, but it refers to some side effects for the male body from prolonged sexual abstinence. Against this background, a man may actually experience certain symptoms: irritability and aggressiveness, increased libido, depression, and lack of appetite.

Question six

What is the cause of male infertility and how to improve a man's reproductive health?

There can be many reasons, including inflammatory diseases of the genital organs, STIs, injuries, abnormal development of the genital organs, exposure to harmful environmental factors and bad habits. There are also cases (about 30%) when it is not possible to identify the causes at all.

If we talk about male reproductive health in general, giving up bad habits, regular sex life, maintaining a healthy lifestyle, and preparing for pregnancy planning are very important.

Question seven

Is there a connection between prostate adenoma and prostate cancer?

Prostatic hyperplasia (adenoma) is not associated with cancer. Adenoma develops in almost all men over 50 years of age; this is due to the growth of prostate tissue against the background of hormonal changes. If a man consults a doctor on time and undergoes a course of treatment, then the adenoma will not cause him any big problems.

As for cancer, it is very difficult to say about its exact cause, but prostate cancer is not very malignant and with timely diagnosis in the early stages, the prognosis for treatment and the patient’s life is very good.

Question eight

What is “prostatitis”?

The inflammatory process in the prostate gland can be divided into two groups: the one that is caused by infection, and the one that is provoked by stagnation of prostate secretion. Typically, prostatitis leads to swelling and stagnation of blood, and pain in the perineum, fever and other unpleasant symptoms appear.

Question nine

What tests and examinations should every man undergo and at what age?

Young and sexually active men are recommended to be tested for STIs annually; men over 50 years old must have their blood tested for prostate-specific antigen (tumor marker) and have an ultrasound scan of the prostate gland every year.

Question ten

How not to become a patient of a urologist-andrologist?

To preserve and strengthen your reproductive health, you just need to come to a urologist or andrologist, because we all know that it is easier to prevent a disease than to treat it. The main principle is moderation: in food, in drinking alcohol. It is important to give up bad habits and a healthy lifestyle in general.

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Source: https://zen.yandex.ru/media/id/5a1fcdd879885e4727544362/5c9c9846c6c75a00b4510140

What an andrologist treats: a list of diseases and the main differences from other doctors

What does an andrologist treat, who is he and what is the difference between this doctor and a urologist or sexologist? Indeed, until recently, a urologist was considered exclusively a “male doctor”; in addition to diseases of the genitourinary organs and with obvious signs of prostatitis, people also turned to him in order to improve erectile function.

A sexologist, relying on comprehensive knowledge in urology and endocrinology, neurology, psychiatry and psychology, is called upon to solve sexual disorders, identify and establish the causes of impotence, frigidity and infertility in both men and women.

Briefly answering the question “Who is an andrologist,” we can say that this is a doctor who treats sexual and reproductive dysfunctions exclusively in men.

It is worth noting

Andrology is a broader field of medicine aimed at in-depth study of male anatomy and physiology of male reproductive diseases and, based on this, methods of their treatment.

Diseases such as erectile dysfunction, decreased libido, sexual disorders, cosmetic defects of the genital organs and other intimate male problems are what an andrologist treats.

In addition, the andrologist treats male infertility and obesity, congenital underdevelopment of the gonads, radiation damage to them, solves the problems of male contraception, physiological, sexual and psychological aging.

Causes Etiology Treatment Folk remedies

A timely visit to an andrologist helps to cope with the physiological menopause, which usually occurs in men aged 50-55 years, and although it is not as pronounced as in women, it causes a man much more problems: the work of the endocrine glands fades, a change occurs hormonal status, the fertilization function atrophies, the man feels that he is getting old.

Treatment of erectile dysfunction in pathological menopause begins with treatment of the underlying disease, and then turns to the use of age-related androgen replacement therapy, which has long been used in the West: long-acting hormonal drugs in the form of tablets, injections, and patches, etc.

Today, most men have clearly realized that in most cases, without a thorough examination and consultation with a doctor, it is not possible to solve sexual problems on their own.

In the treatment of diseases of the genitourinary system in men, consultation with an andrologist is an important step, as it makes it possible to conduct a comprehensive diagnosis of the condition of the man’s body, based on the individual characteristics of the patient and the anatomical specificity of the male organs.

According to experts

As a preventive measure, men starting from middle age are recommended to be diagnosed by an andrologist at least once every six months, since any disease detected in the early stages is easier to treat.

The range of problems that a male andrologist successfully helps solve is quite wide.

These include the following:

1. Male infertility.
2. Gender disorders, sexual dysfunctions.
3. Premature aging in men, pathological changes associated with it.
4. Solving issues of male contraception.
5. Treatment of nonspecific inflammatory diseases of the genitourinary system, complications of sexually transmitted diseases.
6. Prostate diseases, oncoandrology.
7. Treatment of impotence.
8. Congenital and acquired pathology of the external genitalia in boys.
9. Aesthetic and reconstructive genital surgery, urethral surgery.
10. Gender problems, sex change operations.

The following operations can also be classified as andrological:

• penile prosthesis;
• enlargement and lengthening of the penis;
• circumcision of the penis for phimosis;
• varicocele surgery;
• operations on the prostate gland for adenoma and cancer.

Below are a number of reasons and main symptoms that require immediate consultation with an andrologist:

• pain in the lower abdomen, perineal area;
• discomfort, itching, burning when urinating, frequent urination, urinary incontinence;
• discharge from the urethra, unpleasant smell of discharge, presence of blood and pus in the urine;
• pain during sexual intercourse;
• condylomas, papillomas, warts and other formations in the groin area;
• decreased sexual activity, erectile dysfunction, ejaculation, problems with potency;
• infertility in men.

The first appointment with an andrologist, like any other doctor, is an examination and interview of the patient. In order to prepare for the appointment, you must follow all the necessary hygiene measures: take a shower, put on clean underwear.

An andrologist examines the external genitalia, analyzes the condition of the scrotum, penis, inguinal lymph nodes, listens to the patient’s complaints and symptoms.

It is important to know

Depending on the results obtained, to make a more accurate diagnosis and prescribe treatment, the doctor may prescribe additional examination:

• analysis of blood, urine, semen, prostate secretion;
• urethral smear;
• spermogram;
• Ultrasound of the pelvic organs;
• Dopplerography of the vessels of the genitourinary organs;
• determination of prostate specific antigen;
• consultation of relevant specialists;
• instant test for the presence of erectile dysfunction (intracavernous injection of a vasoactive drug).

For the convenience of patients, in many modern private clinics you can anonymously get a first consultation with a male andrologist and get tested.

On our website you can ask a question to our andrologist and get a free specialist consultation.

Source: https://impotencija.net/andrologija/